Stigma and discrimination experienced by people living with severe and persistent mental illness in assertive community treatment settings

Ye, Jing; Chen, Timothy; Paul, Diane R.; McCahon, Rebecca; Shankar, Sumitra; Rosen, Alan; O’Reilly, Claire

doi:10.1177/0020764016651459

Cited by 34 publications

(41 citation statements)

References 45 publications

(66 reference statements)

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“…Out of all patients who were reachable, nearly 20% refused to participate. This is in agreement with Ventura et al, 17 where almost half their patients declined a simple psychiatric interview fearing to receive a diagnosis of a psychiatric disorder, because of public stigma, prejudice, and discrimination toward mentally ill patients, 29 , 30 which subsequently leads to under-recognition of major psychiatric disorders. Alternatively, one may postulate that simple reassurance and education about the disease’s benign nature and positive prognosis may minimize its negative effect and improve outcomes.…”

Section: Discussionsupporting

confidence: 87%

Psychiatric traits in patients with vasovagal and unexplained syncope

Alhuzaimi¹,

Aljohar²,

AlHadi³

et al. 2018

IJGM

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PurposeSyncope is a common condition affecting almost one-third of the general population. The present study measures the prevalence of psychiatric traits in patients presenting with syncope (unexplained and vasovagal) and whether recurrent attacks have an impact on psychiatric profiles.Patients and methodsThis is a case–control study in a tertiary hospital enrolling all patients aged ≥12 years with single or recurrent syncopal attacks. A self-reporting psychometric questionnaire (The Symptoms Checklist-90-Revised) was used to screen for depression, anxiety, somatization disorder, and phobia. Crude comparisons of average scores were done. Further, multiple logistic regression analyses were carried out to measure the impact of syncope on each psychiatric domain. The control group were matched for age, gender, and chronic illnesses with a ratio of 1:3.ResultsThere were 43 cases and 129 control subjects, with predominance of females (67.4%) and an average age of 33.8 years (standard deviation = 16). There were no significant differences in average scores of depression (13 vs 14.53, P = 0.31), anxiety (11.3 vs 10.4, P = 0.51), or phobia (5.4 vs 5.2, P = 0.88). However, the syncope group had a higher average score for somatization disorder (18.53 vs 13.66, P = 0.002). Binary logistic regression model showed that the association between syncope and somatization disorder was independent of competing confounders (odds ratio = 3.75, 95% confidence interval: 1.72, 8.15, P = 0.001). A sub-analysis of the case group showed that patients with multiple syncopal attacks (six or more) had higher average scores of depression, anxiety, phobia, and somatization disorder compared to those who had less than six attacks.ConclusionSyncope was independently associated with somatization disorder traits. Further, recurrent syncope resulted in greater deterioration of patients’ psychiatric profiles. Thus, taking into account the psychiatric status in the management of such patients is crucial.

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Section: Discussionsupporting

confidence: 87%

Psychiatric traits in patients with vasovagal and unexplained syncope

Alhuzaimi¹,

Aljohar²,

AlHadi³

et al. 2018

IJGM

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“…Stigma is burdensome, affecting people living with SMI and their family members and hindering both recovery and rehabilitation (Koschorke et al, ; Lam, Lam, Lam, & Ku, ; Ye et al, ). Negative societal attitudes and stigma are major obstacles to the improvement of quality of life for people living with SMI (Koschorke et al, ; Lam et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…Different mental health conditions are associated with differing levels of stigma, with the stigmatization of people living with SMI found to be significantly higher than that of depression (Lam et al, ). In Australia, while interactions with general health professionals tend to increase perceived stigma and discrimination, interactions with assertive community team members decreased perceived stigma and reduced negative discrimination (Ye et al, ).…”

Section: Resultsmentioning

confidence: 99%

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A structured review of psychiatric rehabilitation for individuals living with severe mental illness within three regions of the Asia‐Pacific: Implications for practice and policy

Hill

Killaspy

Padmavati

et al. 2019

Asia-Pacific Psychiatry

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Introduction Psychiatric rehabilitation can provide and support recovery‐oriented care by assisting individuals living with severe mental illness to lead full lives. Despite a well‐established evidence‐base, implementation and access to these interventions in clinical practice for people with severe mental illness in the Asia‐Pacific region is low. We therefore aimed to evaluate prominent themes impacting on clinical practice, policy, and the implementation of psychiatric rehabilitation across the Asia‐Pacific region. Methods A comprehensive review of relevant literature on psychiatric rehabilitation of three regions within the Asia‐Pacific was conducted using a structured search of PubMed and other databases. Eligible articles were selected which focussed on how psychiatric rehabilitation is defined and implemented across the Asia‐Pacific region, as well as the associated successes and challenges. Common themes were generated. Results Six themes emerged: the impact of policy, legislation, and human rights; access difficulties; the important role of family; the significance of culture, religion, and spiritual beliefs; the widespread impact of stigma; and the indigenous models of excellence being developed. Discussion Consideration of the six themes and their implications should help raise awareness of the issues involved in the provision of psychiatric rehabilitation in the Asia‐Pacific region and may improve outcomes for people living with severe mental illness. Suggested strategies include: developing a shared understanding of psychiatric rehabilitation; establishing quality legislation that's well implemented; adapting evidence‐based models to develop culturally appropriate services; implementing stigma reduction and empowerment‐based interventions; and, ensuring coordinated action among all stakeholders, combined with effective leadership.

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“…Over the past decade, QoL research of people suffering from schizophrenia has been revealed as a predictor of treatment outcomes and de-institutionalization (Karow et Karow et al 2007). In addition, the patients' estimation of their QoL may differ significantly from the objective assessment (Hayhurst et al 2014) and is strongly related to stigma (Ye et al 2016).…”

Section: Introductionmentioning

confidence: 99%